Individual
CHRISTINA COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
600 WAVERLY AVE, PATCHOGUE, NY 11772-1529
(631) 765-2100
Mailing address
600 WAVERLY AVE, PATCHOGUE, NY 11772-1529
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022043
NY
Other
Enumeration date
04/07/2019
Last updated
05/16/2024
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